TY - JOUR
T1 - The "Phillips" Ileostomy Correction Technique for Prolapsed Stoma
AU - Bellato, Vittoria
AU - Tanis, Pieter J.
AU - Hompes, Roel
AU - Buskens, Christianna J.
AU - Sica, Giuseppe S.
AU - Bemelman, Willem A.
N1 - Publisher Copyright: Copyright © The ASCRS 2022.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - INTRODUCTION: Stoma prolapse is a common complication associated with ostomy creation, causing leakage, obstruction, and sometimes incarceration. Sometimes ileostomy prolapse cannot be treated with resection and alternative methods must be applied. We propose a new surgical revisional technique for ileostomy prolapse. TECHNIQUE: Under general anesthesia, the prolapsed stoma is dissected and freed from the fascia and skin. The bowel is everted to create a nipple of 2-3 cm and subsequently fixed with a 3-row linear stapler, creating a "Phillips ileostomy." The ileostomy is then sutured to the skin with 3-0 full thickness stitches. RESULTS: In our center, 3 patients were treated in a day surgery setting, and no complication occurred. One patient reported a prolapse recurrence after 6 months and was successfully treated with the same technique with no recurrence at 1 year. CONCLUSIONS: The 3-row stapler fixation of prolapsed ileostomy is simple to perform, preserves the bowel, and can be performed in the day surgery setting.
AB - INTRODUCTION: Stoma prolapse is a common complication associated with ostomy creation, causing leakage, obstruction, and sometimes incarceration. Sometimes ileostomy prolapse cannot be treated with resection and alternative methods must be applied. We propose a new surgical revisional technique for ileostomy prolapse. TECHNIQUE: Under general anesthesia, the prolapsed stoma is dissected and freed from the fascia and skin. The bowel is everted to create a nipple of 2-3 cm and subsequently fixed with a 3-row linear stapler, creating a "Phillips ileostomy." The ileostomy is then sutured to the skin with 3-0 full thickness stitches. RESULTS: In our center, 3 patients were treated in a day surgery setting, and no complication occurred. One patient reported a prolapse recurrence after 6 months and was successfully treated with the same technique with no recurrence at 1 year. CONCLUSIONS: The 3-row stapler fixation of prolapsed ileostomy is simple to perform, preserves the bowel, and can be performed in the day surgery setting.
UR - http://www.scopus.com/inward/record.url?scp=85124264870&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/DCR.0000000000002150
DO - https://doi.org/10.1097/DCR.0000000000002150
M3 - Article
C2 - 35138289
SN - 0012-3706
VL - 65
SP - e176-e178
JO - Diseases of the colon and rectum
JF - Diseases of the colon and rectum
IS - 3
ER -